MR. Edward Leo Rising, COTA
NPI #1013115716 in Bangor, Pennsylvania
Provider Information
- NPI Number
- 1013115716
- Entity Type
- Individual
- Name
- MR. Edward Leo Rising, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Jul 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 701 SLATE BELT BLVD
- City
- Bangor
- State
- Pennsylvania
- ZIP Code
- 18013-9341
- Phone
- (610) 599-1454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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